NPI registry status
Active
2026 NPPES data Sports Medicine (Neuromusculoskeletal Medicine) Physician NPI 1285691196 MD
Verify on CMS → Thomas James, MD
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Warren, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 552 in Sports Medicine (Neuromusculoskeletal Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
8K
Medicare Part D claims · 1K beneficiaries · Sports Medicine (Neuromusculoskeletal Medicine) Physician avg: 1K
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$680.3
36 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Thomas James, MD filed 7,732 Medicare Part D claims in 2023 as a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Warren, Ohio, prescribing 91% generic.
- 8K
- Part D claims, 2023
- 91%
- generic prescribing
- $680.3
- industry payments (Sunshine Act)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Thomas James, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
7,732 Top 3% higher than 97% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
◑
Board-eligible specialty (heuristic, not verified)
Thomas James, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Thomas James, MD?
Quality data not reportedPrimary specialty
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Medicare Part D claims
7,732 7× vs specialty avg
Specialty distribution in Ohio
How Sports Medicine (Neuromusculoskeletal Medicine) Physician compares to other specialties among Ohio providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Sports Medicine (Neuromusculoskeletal Medicine) Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Thomas James, MD appears in the CMS NPPES registry as a Sports Medicine (Neuromusculoskeletal Medicine) Physician provider holding MD credentials at 735 NILES CORTLAND RD SE, Warren, OH, 44484, with a listed phone of (330) 856-6096. NPI 1285691196 was issued on 04/26/2006.
Medicare Part D records for calendar year 2023 show 7,732 prescription claims written by this provider, covering 1,039 Medicare beneficiaries and totaling roughly $475K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 0.4%.
Sports Medicine (Neuromusculoskeletal Medicine) Physician is a narrow specialty nationwide, with 552 enrolled providers across 51 states and an average of 1,113 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1285691196 |
|---|---|
| Specialty | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/26/2006 |
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Thomas James, MD. Source: openpaymentsdata.cms.gov.
Total received
$680
Largest payer
AstraZeneca Pharmaceuticals LP
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to Thomas James, MD. To verify Thomas James, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Thomas James, MD - brand share 9.0%
Sports Medicine (Neuromusculoskeletal Medicine) Physician average
9% brand-name claims vs 91% generic, on 7,732 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
7,732
Total Claims
$475K
Total Drug Cost
1,039
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 20,104
- Total Day Supply
- 591,833
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $331K
- Generic Drug Cost
- $142K
- Opioid Claims
- 30 (0.4% rate)
- Antibiotic Claims
- 344
Patient Demographics
- Average Patient Age
- 76.7 years
- Avg HCC Risk Score
- 1.01
- Gender Split
- 58% female / 42% male
- Age Distribution
- <65: 15, 65-74: 415, 75-84: 459, 85+: 150
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Thomas James, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Levothyroxine Sodium
Levothyroxine Sodium
528 claims
- Atorvastatin Calcium
Atorvastatin Calcium
413 claims
- Amlodipine Besylate
Amlodipine Besylate
328 claims
- Losartan Potassium
Losartan Potassium
304 claims
- Lisinopril
Lisinopril
280 claims
- Simvastatin
Simvastatin
279 claims
- Omeprazole
Omeprazole
233 claims
- Rosuvastatin Calcium 201
Rosuvastatin Calcium
201 claims
| Drug | Claims |
|---|---|
| Levothyroxine Sodium | 528 |
| Atorvastatin Calcium | 413 |
| Amlodipine Besylate | 328 |
| Losartan Potassium | 304 |
| Lisinopril | 280 |
| Simvastatin | 279 |
| Omeprazole | 233 |
| Rosuvastatin Calcium | 201 |
| Metoprolol Succinate | 188 |
| Pantoprazole Sodium | 175 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Sports Medicine (Neuromusculoskeletal Medicine) Physician in OH →
All providers in Ohio →
Compare specialties →
Sports Medicine (Neuromusculoskeletal Medicine) Physician Overview
How Thomas James, MD fits within the Sports Medicine (Neuromusculoskeletal Medicine) Physician landscape nationally.
552
Sports Medicine (Neuromusculoskeletal Medicine) Physician Providers in US
51
States with Sports Medicine (Neuromusculoskeletal Medicine) Physician
1,113
Avg Claims per Provider
Thomas James, MD's 7,732 claims are above the specialty average of 1,113.
Nearby Sports Medicine (Neuromusculoskeletal Medicine) Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as James.
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Neuromusculoskeletal Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Ohio
Frequently Asked Questions
What is Thomas James, MD's specialty? ▼
Thomas James, MD specializes in Sports Medicine (Neuromusculoskeletal Medicine) Physician and practices in Warren, Ohio. Credentials: MD.
How much does Thomas James, MD prescribe under Medicare Part D? ▼
In 2023, Thomas James, MD wrote 7,732 Medicare Part D claims totaling $475K in drug costs for 1,039 beneficiaries.
Where is Thomas James, MD located? ▼
Thomas James, MD is located at 735 NILES CORTLAND RD SE, Warren, OH, 44484. Phone: (330) 856-6096.
What is Thomas James, MD's NPI number? ▼
Thomas James, MD's National Provider Identifier (NPI) is 1285691196, issued on 04/26/2006.
Does Thomas James, MD prescribe more brand-name or generic drugs? ▼
Thomas James, MD's prescribing is 9% brand-name and 91% generic drugs by claim count, with $331K in brand drug costs.
Does Thomas James, MD prescribe opioids? ▼
Yes, Thomas James, MD had 30 opioid claims in 2023 with an opioid prescribing rate of 0.4%.
How many Sports Medicine (Neuromusculoskeletal Medicine) Physician providers are there in the US? ▼
There are 552 Sports Medicine (Neuromusculoskeletal Medicine) Physician providers across 51 states in the US. The average Sports Medicine (Neuromusculoskeletal Medicine) Physician provider writes 1,113 Medicare Part D claims per year.
What drugs does Thomas James, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Thomas James, MD's most frequently prescribed drugs include Levothyroxine Sodium, Atorvastatin Calcium, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas James, MD accept Medicare? ▼
Thomas James, MD appears in CMS Medicare data with 7,732 Part D claims and 1,039 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas James, MD's credentials? ▼
Thomas James, MD's NPI is 1285691196 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.